个体化生物反馈训练联合盆底肌功能锻炼预防低位直肠癌根治术后直肠前切除综合征的效果

The Efficacy of Personalized Biofeedback Training Combined with Pelvic-floor Muscles Exercise for Preventing Anterior Resection Syndrome Following the Radical Surgery for Low Rectal Cancer

目的:探讨个体化生物反馈训练联合盆底肌功能锻炼预防低位直肠癌根治术后前切除综合征(ARS)的效果。方法:选择2018年2月至2020年5月于我院择期行直肠癌根治术的110例低位直肠癌患者作为研究对象,患者均接受“术前放化疗-直肠前切除术-预防性造口-造口还纳术”,按随机数字表法分为2组,每组55例,一组予以常规盆底肌功能锻炼(常规组),另一组在常规盆底肌功能锻炼基础上予以生物反馈训练(观察组)。观察2组造口还纳后3个月和6个月ARS发生情况。结果:观察组造口还纳后3个月和6个月ARS发生率分别为38.18%(21/55)和23.64%(13/55),常规组分别为58.18%(32/55)和47.27%(26/55),2组差异有统计学意义,P <0.05。结论:个体化生物反馈训练联合盆底肌功能锻炼可降低低位直肠癌根治术后ARS的发生率。

Objective To investigate the efficacy of personalized biofeedback training combined with pelvic-floor muscles exercise for preventing anterior resection syndrome(ARS) after radical surgery for low rectal cancer.Methods Randomly divided 110 patients with low rectal cancer and undergoing scheduled operation(in the order of preoperative radiochemotherapy-anterior resection of rectum-prophylative neostomy-reduction of stoma) in author’s hospital(2018-02—2020-05) into routine group(55 cases,took routine pel vic-floor muscles exercise) and observation group(55 cases,based on routine group,combined with biofeedback training);then,observed the status on ARS onset at 3 and 6 months after stoma reduction.Results At 3 months and 6 months after stoma reduction in observation group the incidence of ARS were respectively and significantly lower than that in routine group [38.18%(21/55) vs 58.18%(32/55),and23.64%(13/55) vs 47.27(26/55),all,P <0.05)].Conclusion Personalized biofeedback training plus pelvic-floor muscles exercise can reduce ARS incidence following the radical surgery for lower rectal cancer.